| NPI | 1306971775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G85153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 19210) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-04-14 |